Software Development Engineer – AI / Startup / Equity

Job Description

Join an AI-first healthcare startup attacking a massive market with broken workflows, huge inefficiencies, and near limitless room for automation. The founding team are proven serial entrepreneurs who have collectively raised over $100M across prior ventures. The company is fully bootstrapped today, already loved by large healthcare organizations, and positioned to scale extremely fast.

This is a founder-level engineering role with the opportunity for up to 2% equity and a realistic path to $1M+ in equity value within 3–5 years as the company scales. If you want comfort, this is not it. If you want intensity, ownership, and the chance to build something category-defining, keep reading.

In this role, you will be:

• Building multiple AI-powered healthcare products from zero to one (5–10 per year)
• Owning full product lifecycle from customer discovery to shipping production code
• Working directly with healthcare operators and users to understand real workflows
• Translating complex healthcare processes into practical AI tools
• Coding across frontend, backend, and data layers using TypeScript, React, Next.js, Node, SQL, and AWS
• Leveraging AI coding tools heavily to build at extreme speed
• Traveling occasionally for on-site workflow deep dives
• Operating in-person in NYC with a small, elite founding team

What makes this opportunity unique?

• AI-first engineering culture where generative tools are mandatory, not optional
• Products ship in weeks, not quarters
• Direct access to large healthcare organizations already committed to using these products
• No endless pilots, products go live fast and generate revenue
• Small, founder-level team with real ownership
• Massive greenfield opportunity in healthcare automation
• Opportunity for outsized equity and leadership trajectory

Territory & Deal Profile:

• Healthcare organizations across the United States
• Products focused on documentation workflows, automation, reimbursement accuracy, and operational efficiency
• Integrations into existing healthcare systems and standalone AI applications
• Rapid deployment and immediate usage post-launch

Compensation & Benefits:

• Base salary: $150K
• Contract-to-hire option (10–20 hours per week to start if needed)
• Equity: up to 2%, 4–5 year vesting
• Realistic upside of $1M+ equity value within 3–5 years
• Future salary trajectory to $250K–$300K within three years
• NYC office (Manhattan/Brooklyn), hybrid/in-person
• Standard PTO and benefits
• Paid AI development tools (Cursor, CloudCode, etc.)

Hardest part of the job?

 

Speed and intensity. This is not a corporate engineering seat. You will operate in ambiguity, work directly with end users, ship fast, and be expected to think like a founder. There is no bureaucracy, no red tape, and no hiding behind process.